Terra Experience Order Form |
| Name: |
____________________________________________ |
| Address: |
____________________________________________ |
|
City: ______________ |
State: ___ |
Zip:__________ |
| Phone: |
Day (____)_________ |
Evening (______)_________ |
| email: |
____________________________________________ |
|
| MAIL TO: ____
same or |
| Name: |
____________________________________________ |
| Address: |
____________________________________________ |
|
City: ______________ |
State: ___ |
Zip:__________ |
| Phone: |
Day (____)_________ |
Evening (______)_________ |
| email: |
____________________________________________ |
|
| Payment |
|
|
Check or money order included (make out to
Terra Experience and
mail to Terra Experience, 2140 Regent St., Madison WI 53726)
|
| |
I am paying with PayPal's
secure electronic payment option (click
below)
|
| |
Credit
Card
(this is not a secure site please do not email us
your credit card - indicate your preference below:)
|
| . |
Please call me at the following
number to obtain my credit card information.
Area Code: ____ Number _______________
|
I am faxing you at 608/231-1445 (call
first) or will call you at
608/231-1247 and provide the following information: Type of Card:
__Visa __Master Card __
Discovery
Card Number: ________________________
Date of Expiration: ___________
|
| Please Indicate
below what you would like to purchase |
|
--How Many--
|
---Description---
|
--Cost
/ Item-- |
--Inventory Code--
|
---Total---
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| Wisconsin Sales Tax (Wisconsin Customers only) 5.5% |
|
Basic retail Priority Mail shipping cost for within the United States:
$5.00
- Any quantity doll outfits and
accessories, or
- 1 book
Add $1.00 shipping for each additional
book ordered.
Please contact us directly at lynn@terraexperience.com
or 608/231-1247 for overseas shipping, wholesale shipping costs or
alternative shipping options.
|
$5.00 |
|
TOTAL |
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